Active NPI
Philip Coy Thompson
- Community Health Worker
- Las Cruces, NM
National Provider Identifier
1740954668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 2801 Missouri Ave Ste 22
Las Cruces, NM 88011-5062 - Phone
- (575) 915-1338
- NPI assigned
- Aug 4, 2021
- Last updated
- Aug 4, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
2801 Missouri Ave Ste 22
Las Cruces, NM 88011-5062
Mailing address
3465 McNutt Rd
Sunland Park, NM 88063-9056
Phone (575) 915-1338
Other practice location 1
3465 McNutt Rd
Sunland Park, NM 88063-9056
Phone (575) 915-1338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NM Family Services LLC | Community Health Worker | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628035200000",
"number": "1740954668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3465 MCNUTT RD",
"city": "SUNLAND PARK",
"state": "NM",
"postal_code": "880639056",
"telephone_number": "575-915-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 MISSOURI AVE STE 22",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880115062",
"telephone_number": "575-915-1338"
}
],
"practiceLocations": [
{
"address_1": "3465 McNutt Rd",
"address_purpose": "LOCATION",
"city": "Sunland Park",
"state": "NM",
"postal_code": "880639056",
"country_code": "US",
"telephone_number": "575-915-1338",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "PHILIP",
"middle_name": "COY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-04",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.